Individual
CLINTON NEAL HETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1522 W 8TH AVE, STILLWATER, OK 74074-4372
(405) 372-8300
(405) 377-0090
Mailing address
1522 W 8TH AVE, STILLWATER, OK 74074-4372
(405) 372-8300
(405) 377-0090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4416
OK
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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